Falls Church Medical Care Center, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

0101036326 Issued in VA

Legal business name

FALLS CHURCH MEDICAL CARE CENTER, LLC

Practice address

3701 S George Mason Dr Ste C1
Falls Church, VA 22041-4722

Phone

(703) 379-9202

Fax

(703) 379-9204

NPI assigned

Apr 22, 2009

Last updated

Apr 22, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samir Nazam, M.D.

Title

Physician/Owner

Phone

(703) 379-9202

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1891939898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 S GEORGE MASON DR STE C1",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220414722",
            "telephone_number": "703-379-9202",
            "fax_number": "703-379-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 S GEORGE MASON DR STE C1",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220414722",
            "telephone_number": "703-379-9202",
            "fax_number": "703-379-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLS CHURCH MEDICAL CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "NAZAM",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "703-379-9202",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": "0101036326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Primary Care Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.